NPI | 1841498391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO 48901) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NM MD2016-0211) |
207N00000X Dermatology (Licence: IA 38037) | |
Enumeration Date | 2007-07-06 |
Last Update Date | 2021-10-22 |