| NPI | 1083109532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX T2804) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10064478) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-08-28 |