NPI | 1710178173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD445744) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232893) |
207N00000X Dermatology (Licence: DE C1-0010161) | |
Enumeration Date | 2007-08-09 |
Last Update Date | 2017-04-19 |