| NPI | 1558820944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA PTL4383) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 13322820-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2026-04-22 |