| NPI | 1922458736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD467518) |
| 207N00000X Dermatology (Licence: CA A195377) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-08-12 |