| NPI | 1831830694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR DO214776) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: WA DO.OP.61466895) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-08-04 |