NPI | 1275501959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MD D0017574) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: DC MD3852) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2009-06-16 |