NPI | 1295924454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO Dr.0054253) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 55257) |
207ND0900X Dermatology, Dermatopathology (Licence: MN 55257) | |
207R00000X Internal Medicine (Licence: OH 57013167) | |
207N00000X Dermatology (Licence: OH 57.013167) | |
Enumeration Date | 2007-10-23 |
Last Update Date | 2019-05-15 |