| NPI | 1801158027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01078691A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 183254) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2017-06-07 |