NPI | 1598803355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-095941) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD T0917) |
207N00000X Dermatology (Licence: MD D69261) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2011-03-18 |