| NPI | 1447604251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MO 2020005830) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: MO 2020005830) | |
| 208000000X Pediatrics (Licence: MO 2020005830) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-04-19 |