| NPI | 1508425935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022024232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021020844) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-06-30 |