| NPI | 1629828959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA 342234) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2026-05-22 |