NPI | 1639343312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IA 4027) |
Additional Taxonomies | 208D00000X General Practice (Licence: IA 4027) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2018-04-18 |