NPI | 1588926984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 65408) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036140845) |
207R00000X Internal Medicine (Licence: WI 65408) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2020-12-28 |