| NPI | 1992159156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E13033) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: AR E-13033) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-11-18 |