NPI | 1326045915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35075150) |
Additional Taxonomies | 207N00000X Dermatology (Licence: GA 050434) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2023-06-16 |