NPI | 1174947220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 65007) |
Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101259069) |
208D00000X General Practice (Licence: VA 0101259069) | |
Enumeration Date | 2014-02-10 |
Last Update Date | 2023-02-28 |