NPI | 1447458765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: PR 16921) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 16921) |
Enumeration Date | 2007-07-09 |
Last Update Date | 2016-10-10 |