| NPI | 1679035091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY TP500) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-05-08 |