NPI | 1316200413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OK 33139) |
Additional Taxonomies | 207N00000X Dermatology (Licence: SC LL34736) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2022-10-28 |