| NPI | 1174029102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A163550) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 163550) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-04-16 |