NPI | 1801886924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: IN 01037184) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01037184) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2015-02-17 |