NPI | 1861547531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD441280) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 262200) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2021-05-20 |