NPI | 1356309678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: WA MD00033431) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WA MD00033431) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2021-01-28 |