NPI | 1841510823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2014-01259) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A137339) |
207R00000X Internal Medicine (Licence: IL 125:057936) | |
Enumeration Date | 2010-06-01 |
Last Update Date | 2020-03-12 |