NPI | 1558361345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MS 16501) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TN 25961) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2014-06-30 |