| NPI | 1215505441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 1023867) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 288439) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-08-13 |