NPI | 1861671505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0061245) |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: MD D0061245) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2008-08-10 |