NPI | 1487696605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200900259) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME95232) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2014-02-24 |