| NPI | 1699202267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD.MD.61144388) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG182792) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-05-24 |