NPI | 1780660407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35061619K) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35061619K) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2015-06-26 |