NPI | 1962847152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD462445) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462445) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD462445) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-02 |
Last Update Date | 2022-05-06 |