NPI | 1275898389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 291269) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R73363) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 47523) | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2020-10-13 |