NPI | 1902500622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 77534) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 33383) |
Enumeration Date | 2023-03-28 |
Last Update Date | 2024-09-04 |