NPI | 1184950313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL 115577) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL 115577) |
207NS0135X Dermatology, Procedural Dermatology (Licence: FL 115577) | |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: FL 115577) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-10-22 |
Last Update Date | 2020-08-28 |