| NPI | 1689102527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX T1667) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX T1667) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0006794) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX T1667) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-09-01 |