NPI | 1912952565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD16666) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0034478) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2019-12-06 |