NPI | 1508419979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2019021949) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019021949) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2023-07-05 |