| NPI | 1942562202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 284946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251509) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: MA 251509) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-05-18 |