| NPI | 1871396523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL TRN45623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.086327) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2026-07-07 |