| NPI | 1235705872 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01095886A) | 
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MT226575) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-03 | 
| Last Update Date | 2025-08-20 |