| NPI | 1558537720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0068950) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD036560) |
| 207N00000X Dermatology (Licence: VA 0101245200) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2015-02-18 |