| NPI | 1831534445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD460475) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203560) |
| 207N00000X Dermatology (Licence: VA 0116026680) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-12-27 |