| NPI | 1689817983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A125915) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0116023673) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116023673) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2022-10-24 |