| NPI | 1144515297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 266260) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.150209) |
| 207R00000X Internal Medicine (Licence: MI L2035485) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-09-15 |