NPI | 1033252390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0071691) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD430963) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2011-09-23 |