NPI | 1699092866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q4346) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 269220) |
207N00000X Dermatology (Licence: MA 258445) | |
Enumeration Date | 2010-04-28 |
Last Update Date | 2023-08-10 |