NPI | 1427213651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME139288) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013017451) |
207ND0900X Dermatology, Dermatopathology (Licence: MO 2013017451) | |
207ND0900X Dermatology, Dermatopathology (Licence: FL ME139288) | |
Enumeration Date | 2008-07-28 |
Last Update Date | 2023-01-27 |