NPI | 1245349190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR 182101) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TN 0000049928) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-03-17 |