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 |