NPI | 1912999558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA 184054) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 48384) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2023-03-10 |