NPI | 1649407073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD70006695) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD70006695) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2025-08-22 |