| NPI | 1730614223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA R-13042) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 11994) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2025-05-03 |