| NPI | 1033572078 |
|---|---|
| Former Name | DOROTHY LEIGH RODENBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 97882) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125071169) |
| 207N00000X Dermatology (Licence: NY 303345) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-08-08 |