NPI | 1578069530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT 71874) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CO CDRH.0070974) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2023-12-02 |