| NPI | 1740816255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2025-01408) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57.252871) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2025-09-04 |