NPI | 1528067683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 301241) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA C159568) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2024-01-15 |