NPI | 1891792958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: IA 02136) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IA 02136) |
207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IA 02136) | |
207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: IA 02136) | |
207NP0225X Dermatology Pediatric Dermatology (Licence: IA 02136) | |
207NS0135X Dermatology Procedural Dermatology (Licence: IA 02136) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2022-07-21 |