NPI | 1548216724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: SD 5902) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2003008581) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2008-05-08 |