| NPI | 1770945719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX T6178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068234) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: AL 36112) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-07-08 |