NPI | 1659578581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D66351) |
Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD036195) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2023-10-25 |