NPI | 1558597039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 255852) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 2552852) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2025-09-19 |