NPI | 1154701019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD17221) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208181) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2020-08-19 |