| NPI | 1316145717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 243603) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 246303-1) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-03-28 |