| NPI | 1053844530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101271502) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA AU2496291) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-01-23 |