NPI | 1841429206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT 055128) |
Additional Taxonomies | 207N00000X Dermatology (Licence: KS 94-07195) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2018-05-08 |