| 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 |