| NPI | 1518385475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS14348) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14348) |
| 207Q00000X Family Medicine (Licence: TX R4345) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2019-02-04 |