NPI | 1720430218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0073491) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 34.016445) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2024-06-09 |