| NPI | 1770726606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 300835) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL 30463) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-02-13 |