| NPI | 1811457575 |
|---|---|
| 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: LA 346319) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-07-10 |