| NPI | 1891955688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 69498) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101251228) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019593) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2023-01-13 |