| NPI | 1295295848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 97905) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NC 2023-01673) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: NC 2023-01673) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-02-03 |