| NPI | 1144710021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD474494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD474494) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT215366) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-03-28 |