NPI | 1013530849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR PG215976) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WA DO.OP.61660584) |
Enumeration Date | 2020-05-27 |
Last Update Date | 2025-06-20 |