NPI | 1528050804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 045800) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 045800) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2022-01-10 |