NPI | 1043336126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA PA16086) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NM PA2008-0007) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-07-07 |