NPI | 1073762803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO 49877) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CO 2979) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2021-04-08 |