| NPI | 1073951109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A-155824) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI MD16800) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-01-28 |