| NPI | 1740975861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS FILL-C9VG9V) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L.5947R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2024-07-02 |