| NPI | 1952836165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 93323) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: GA 100937) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-09-17 |