NPI | 1184015984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 81655-20) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 7327) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2023-08-08 |