| NPI | 1093201162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA11550900) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA11550900) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MA11550900) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-08-07 |