NPI | 1366634206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD039055) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D77053) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2018-01-04 |