| NPI | 1598939217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 201300551) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 201300551) |
| 207N00000X Dermatology (Licence: OH 35099167) | |
| 207N00000X Dermatology (Licence: WV 23914) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2023-07-25 |