| NPI | 1891105987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01079325A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: FL ME180294) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2026-05-27 |