NPI | 1790539054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ R80835) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R80835) |
Enumeration Date | 2024-04-15 |
Last Update Date | 2025-06-26 |