NPI | 1376734954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G28364) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G28364) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |