NPI | 1023300977 |
---|---|
Former Name | IRENE HELEN KRAMARCZUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NV 17469) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA 124024) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2018-09-21 |