NPI | 1992090120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO 54284) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 276308-1) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2022-09-19 |