NPI | 1245389717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0035709) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0035709) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2010-08-11 |