| NPI | 1922748961 |
|---|---|
| Former Name | LACEY SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.080041) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-07-12 |