NPI | 1467493163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G86148) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD423494) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2018-12-04 |