NPI | 1780950352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0438483) |
Additional Taxonomies | 207N00000X Dermatology (Licence: KS 0438483) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2020-10-13 |