NPI | 1033220538 |
---|---|
Former Name | JOCELYN JUNE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SD 9204) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 48990) |
207N00000X Dermatology (Licence: AZ 36911) | |
207N00000X Dermatology (Licence: FL ME103184) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-11-13 |