NPI | 1053601252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AL 41753) |
Additional Taxonomies | 207N00000X Dermatology (Licence: LA MD.205556) |
Enumeration Date | 2011-04-10 |
Last Update Date | 2021-10-12 |