| NPI | 1861840308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD199676) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG177916) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2025-08-08 |