| NPI | 1700580867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57.254919) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-07-23 |