| NPI | 1285262170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO DR.0073878) |
| 207N00000X Dermatology (Licence: MN 78540) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0073878) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MN 78540) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-02-06 |