| NPI | 1184170037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A182229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.078788) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2026-05-09 |