NPI | 1962744730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: LA 308643) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301106872) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2018-12-04 |