NPI | 1558429621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A70743) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 54726) |
207N00000X Dermatology (Licence: CA A70743) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2024-04-16 |