NPI | 1841392628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0040050) |
Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD18516) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2007-07-08 |