| 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 |