NPI | 1417274812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA10674800) |
Additional Taxonomies | 207N00000X Dermatology (Licence: VA 0101254559) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2022-04-30 |