NPI | 1881911204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME110933) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AL MD.35183) |
Enumeration Date | 2010-04-25 |
Last Update Date | 2020-10-12 |