NPI | 1568882082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX R3534) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX BP10050055) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2021-09-30 |