NPI | 1023438785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA 138192) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A138195) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2020-10-22 |