NPI | 1699155416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A168346) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CT 1699155416) |
207N00000X Dermatology (Licence: CA A168346) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-06 |
Last Update Date | 2024-04-16 |