NPI | 1275568495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-084878) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35-084878) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2010-08-23 |