NPI | 1811246531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 71011005A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60277759) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2024-12-19 |