NPI | 1215980941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 40772) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 40772) |
207NS0135X Dermatology, Procedural Dermatology (Licence: WI 40772) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2016-11-09 |