NPI | 1003922162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G50969) |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: CA G50969) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-05-03 |