NPI | 1386623551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 44727) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MN 44727) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2020-08-13 |