NPI | 1225491616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD61447491) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101263003) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2024-10-01 |