| NPI | 1720874076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX BP10094548) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2026-06-14 |