| NPI | 1730311507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 131152) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 2648654) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA 131152) | |
| 207R00000X Internal Medicine (Licence: IL 125.056776) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2018-01-17 |