NPI | 1255434742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME134621) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD 13244) |
207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME134621) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2021-05-06 |