NPI | 1366837742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WV 27422) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0088192) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-05-16 |