NPI | 1285808691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA a117344) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57.008390) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2018-05-14 |