| 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 |