NPI | 1356791461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 61175) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2016020773) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2020-09-21 |