NPI | 1386087617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX T5273) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX 573272) |
207N00000X Dermatology (Licence: CA A134007) | |
Enumeration Date | 2013-04-17 |
Last Update Date | 2022-11-07 |