| NPI | 1043745243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 28771) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: MS 28771) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2021-12-02 |