NPI | 1982055752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 9785054) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7756) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2020-10-12 |