NPI | 1124081849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: AR E3069) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AR BH7561409) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2015-09-22 |