NPI | 1861432841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: VT 0420010026) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 152559) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2015-01-12 |