NPI | 1780902833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35124386) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35124386) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2022-09-07 |