| 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 |