NPI | 1932632239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL 149468) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL 26382) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2021-04-23 |