NPI | 1538272752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A87903) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A87903) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2024-04-16 |