| NPI | 1750647343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA09771400) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2021-11-29 |