NPI | 1821178716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA G48767) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MT 141253) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2024-04-18 |