NPI | 1457612749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX BP20046284) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX Q5126) |
207R00000X Internal Medicine (Licence: TX BP10044148) | |
Enumeration Date | 2012-06-03 |
Last Update Date | 2024-02-08 |