| NPI | 1326205006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N9214) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301091633) |
| 207N00000X Dermatology (Licence: HI 18431) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-02-25 |