NPI | 1154377448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0062260) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MD D0062260) |
207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0062260) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2012-03-09 |