| NPI | 1235995226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2025023132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.084123) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-06-22 |