| NPI | 1528248747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 49156) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 49156) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 237598) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2022-10-04 |