NPI | 1841685658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MT 113618) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 287108) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2022-10-04 |