| NPI | 1558756817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX R9844) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 39020000X) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-03-27 |