| NPI | 1912311671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 1912311671) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0005336) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-02-24 |