NPI | 1447205190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 75461) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 75461) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2012-06-22 |