NPI | 1750568200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D88261) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 247216) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2020-08-25 |