NPI | 1841689510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OK 2472) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2472) |
Enumeration Date | 2015-01-17 |
Last Update Date | 2018-04-04 |