NPI | 1356426829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: UT 2752851205) |
Additional Taxonomies | 207N00000X Dermatology (Licence: UT 2752851205) |
207NS0135X Dermatology, Procedural Dermatology (Licence: UT 2752851205) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2021-12-20 |