NPI | 1598743601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME147373) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NH 12841) |
207N00000X Dermatology (Licence: MN 45708) | |
207N00000X Dermatology (Licence: MA 236945) | |
Enumeration Date | 2006-01-09 |
Last Update Date | 2021-02-17 |