NPI | 1295552388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA LT001042) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA LT001042) |
207NS0135X Dermatology, Procedural Dermatology (Licence: PA LT001042) | |
Enumeration Date | 2024-09-20 |
Last Update Date | 2025-01-19 |