NPI | 1982855110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI MI5101017676) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101017676) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2018-12-07 |