| NPI | 1346739307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MT MED-PHYS-LIC-109589) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4351044465) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2022-06-24 |