| NPI | 1457746562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX U6677) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301113306) |
| 207N00000X Dermatology (Licence: IL 125.074437) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-12-16 |