NPI | 1982051942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD470332) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX S9996) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2023-08-21 |