NPI | 1063689727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 54704-20) |
Additional Taxonomies | 207N00000X Dermatology (Licence: VT 042.0015116) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2021-09-27 |