| 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 |