NPI | 1689646093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 46882) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 46882) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-21 |