NPI | 1477992881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: VA 0102207964) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MD H0090997) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2023-08-18 |