NPI | 1376557199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT CT034871) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CT CT034871) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2010-07-11 |