NPI | 1508986662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NE 25042) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL RTP001764) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2022-07-21 |