| NPI | 1639565930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN 61033) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 61033) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD471328) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-01-17 |