NPI | 1134784168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 187371) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA 187371) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2024-09-04 |