NPI | 1558369215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT 036169) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CT 036169) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2008-06-27 |