| NPI | 1831327725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021771) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX BP10037171) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2010-06-17 |