| NPI | 1881222388 |
|---|---|
| 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: MA 289491) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-07-21 |