| NPI | 1700371283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301509000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072688) |
| 207N00000X Dermatology (Licence: CO TL.0009277) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007550) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2026-01-06 |