NPI | 1467429274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MA 154154) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 154154) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2025-02-05 |