| NPI | 1326496522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 319446) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL UO4938) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: FL OS16881) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-12-23 |