NPI | 1518924299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-078847) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX L8449) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-08-13 |