NPI | 1376127043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 336476) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5315225062) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2025-06-09 |