| NPI | 1639448269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A165972) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 62300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2021-08-31 |