| NPI | 1184062481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 50317) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017129A) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2022-07-21 |