NPI | 1407802549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX K0973) |
Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: TX K0973) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2021-04-16 |