NPI | 1548437270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NM MD2018-0445) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IA 39053) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2020-10-23 |