NPI | 1326606484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SC 82553) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82553) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2024-02-12 |