NPI | 1972802783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD463931) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA09638500) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2022-06-30 |