| NPI | 1639866171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX 765953) |
| 207R00000X Internal Medicine (Licence: TX 765953) | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |