NPI | 1679718027 |
---|---|
Former Name | VICTORIA ROSE NEGRETE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0072440) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01082823A) |
207N00000X Dermatology (Licence: WI 53961-020) | |
Enumeration Date | 2008-12-12 |
Last Update Date | 2024-08-02 |