NPI | 1932105764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD012675E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD012675E) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2010-01-13 |