NPI | 1417167057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME88650) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A110104) |
207N00000X Dermatology (Licence: FL ME88650) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-03-10 |