NPI | 1003202896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 68120) |
Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: NY 305311) |
207ZD0900X Pathology Dermatopathology (Licence: WI 68120) | |
207N00000X Dermatology (Licence: NY 305311) | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2024-03-25 |