NPI | 1285690321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A49000) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A49000) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2007-07-08 |