| NPI | 1932668753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.073575) |
| 207R00000X Internal Medicine (Licence: IL 125.073575) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.073575) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-06-11 |