NPI | 1164620670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MO 2013027447) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013027447) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2024-03-07 |