NPI | 1063682078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD036729) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0071280) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-03-05 |
Last Update Date | 2019-01-02 |