| NPI | 1043957442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022023822) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2022023822) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2023-07-06 |