NPI | 1649329533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D45564) |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: MD D45564) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2011-11-28 |