NPI | 1174614366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 34499) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036-097150) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |