NPI | 1417479882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 95927) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.146581) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35.146581) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: GA 11670) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT214596) | |
Enumeration Date | 2017-07-07 |
Last Update Date | 2023-06-22 |