| NPI | 1417310152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 307134) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 20A19627) |
| 207N00000X Dermatology (Licence: FL OS16240) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-06-02 |