NPI | 1033538517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MN 59720) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NM MD2019-0217) |
207N00000X Dermatology (Licence: MN 59720) | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2020-09-30 |