NPI | 1295833788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD162207) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 3603891205) |
207N00000X Dermatology (Licence: UT 3603891205) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-11-21 |