NPI | 1558532630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX P4311) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 256373) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2024-12-16 |