| 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 |