NPI | 1912139825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: DC MD042625) |
Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD042625) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: MD D75385) | |
207N00000X Dermatology (Licence: MD D75385) | |
Enumeration Date | 2009-08-12 |
Last Update Date | 2014-10-16 |