NPI | 1992927305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2009-00391) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35089542) |
207ND0900X Dermatology, Dermatopathology (Licence: NC 2009-00391) | |
Enumeration Date | 2007-05-03 |
Last Update Date | 2022-12-08 |