NPI | 1972743052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NM 80-233) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 80-233) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2009-03-02 |