NPI | 1891149993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME145243) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 218781) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2023-03-20 |