| NPI | 1083280267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 289827) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL 51675) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-09-23 |