| NPI | 1053706911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD18505) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A169832) |
| 207N00000X Dermatology (Licence: NV 18723) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-08-08 |