| NPI | 1184886202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA T289320) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: CA A105860) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-09-02 |