NPI | 1952461329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G49465) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA G49465) |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA G49465) | |
Enumeration Date | 2006-12-08 |
Last Update Date | 2013-12-30 |