NPI | 1033733670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MA061473) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA OA005197) |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |