NPI | 1033256821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: TX M4467) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX M4467) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2011-05-10 |