| NPI | 1588168553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DE C2-0024069) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101025576) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151013490) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-06-14 |