| NPI | 1548434335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2009-00687) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 128025) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-12-15 |