| NPI | 1073759627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A106399) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A106399) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2013-06-14 |