| NPI | 1699352716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 14298051-1204) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG210458) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008600) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-08-11 |