NPI | 1073571139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A70772) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A70772) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-05-27 |