| NPI | 1518543453 |
|---|---|
| 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: SC 90763) |
| 208D00000X General Practice (Licence: NC 2023-01317) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-01-18 |