| NPI | 1316328578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME142690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264299) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2019-10-31 |