| NPI | 1396322194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MT223129) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD485630) |
| 207R00000X Internal Medicine (Licence: PA MT223129) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-04-14 |