NPI | 1972917391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 277894) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 277894) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2024-04-02 |