| NPI | 1972009595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2025-02329) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: MS 29941) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NC 2025-02329) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: MS 29941) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-09-08 |