NPI | 1427893767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA l9920) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-06-27 |