| NPI | 1508192329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101247944) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101247944) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2022-08-02 |