| NPI | 1285256305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME180841) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 328735) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2026-05-28 |