| NPI | 1841589785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 267656) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-04-27 |