NPI | 1073298923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 77618) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12964) |
Enumeration Date | 2023-06-19 |
Last Update Date | 2024-08-09 |