| NPI | 1902284854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 286082) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 688233649) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-03-25 |