NPI | 1649354150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CO 37780) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CO 37780) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2012-10-04 |