NPI | 1063572907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: VT 042-0011829) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD436030) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-09-22 |