| NPI | 1922486695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CO DR.0071805) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: OH 35.136073) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207N00000X Dermatology (Licence: PA MD470851) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2023-12-15 |