| NPI | 1295022259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A120467) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A120467) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-04-01 |