| NPI | 1942732144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 309675-01) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: IL 125071628) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-09-14 |