NPI | 1053638197 |
---|---|
Former Name | EMILY FRANK STAMELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 258552) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-29 |
Last Update Date | 2016-04-06 |