| NPI | 1659542397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CT 51682) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT 51682) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2024-04-26 |