NPI | 1407817539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101054255) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: VA 0101054255) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2013-06-28 |