NPI | 1962409300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PR 8787) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL 80172) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2024-12-16 |