NPI | 1598908444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MI 4301110880) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301110880) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2024-01-15 |