NPI | 1598712804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME74205) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME74205) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2024-01-22 |