| NPI | 1134707516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN33464) |
| 207N00000X Dermatology (Licence: FL TRN33464) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-07-21 |