| NPI | 1457770570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL 162139) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME162139) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL 162139) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: FL 162139) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-02-06 |