NPI | 1255377958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: KS 530781) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2004016560) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2017-08-08 |