| NPI | 1699069005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q6766) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: OH 35127020) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2016-10-06 |