| NPI | 1285124958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD211364) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG188403) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG193428) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2022-10-31 |