NPI | 1750484739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD065413L) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MD-065413-L) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2007-07-08 |