NPI | 1255322319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR0054452) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A36171) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2020-03-01 |