| NPI | 1336991074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NE 10164) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-04-24 |