| NPI | 1649633678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 12222522-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: KS 940915) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-03-20 |