| NPI | 1225526460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 13951000-1205) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 59197) |
| 207R00000X Internal Medicine (Licence: AZ R76755) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-10-18 |