NPI | 1487008025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4351050138) |
207R00000X Internal Medicine (Licence: CA A150457) | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2022-06-30 |