| NPI | 1477052439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PR 23262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 23262) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2024-08-21 |