NPI | 1487859328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: MD D0073577) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MD D0073577) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2021-06-15 |