NPI | 1619172541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 250652) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA08947400) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2011-07-08 |