| 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 |