NPI | 1598129975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX S4528) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX S4528) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2023-05-19 |