| NPI | 1194149211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO TL.0007578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0006705) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2019-04-02 |