| NPI | 1427404102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2025003838) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: AZ 64741) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: AZ 64741) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2025-08-01 |