| NPI | 1053546416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A149698) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY 47222) |
| 207N00000X Dermatology (Licence: MN 54232) | |
| 207N00000X Dermatology (Licence: CA V149698) | |
| 207N00000X Dermatology (Licence: OH 35123652) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-02-02 |