NPI | 1366962292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A162721) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA xxxxxx) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2022-12-22 |