| NPI | 1063953354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME149395) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036171040) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: IN 01086345A) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-09-09 |