NPI | 1790736312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SC 22838) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: SC 22838) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: SC 22838) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2011-09-22 |