NPI | 1568705556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NE 31225) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2017-01521) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2020-08-11 |