NPI | 1619952686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 49047) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 49047) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2023-11-27 |