| NPI | 1134522584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 14246068-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A162539) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2025-12-11 |