NPI | 1447312384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA 60450667) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A70271) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2015-03-04 |