NPI | 1639232952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX N7679) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA G18677) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2012-04-18 |