NPI | 1528254901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A80338) |
Additional Taxonomies | 207N00000X Dermatology (Licence: UT 6026955-1205) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2022-12-22 |