NPI | 1922206580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 53005) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 262140) |
207N00000X Dermatology (Licence: MI 4301038363) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2013-03-05 |