| NPI | 1336776525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 83730) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351047329) |
| 207N00000X Dermatology (Licence: MI 4351047329) | |
| 207R00000X Internal Medicine (Licence: NC 260655) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-08-28 |