NPI | 1750561056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA C138472) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D72167) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2021-08-25 |