| NPI | 1295390961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 284781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284781) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 284781) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-03-25 |