| NPI | 1114242039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS13270) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: OH 34.011030) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL OS13270) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2024-06-05 |