| NPI | 1780116301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA11492400) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 317185) |
| 207ND0900X Dermatology Dermatopathology (Licence: NJ 25MA11492400) | |
| 207ND0900X Dermatology Dermatopathology (Licence: NY 317185) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2023-07-03 |