NPI | 1245473941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME112666) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WA ML20008257) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2021-12-15 |