NPI | 1083878623 |
---|---|
Former Name | LIAN ALANA SORHAINDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 245368) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA08808000) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2012-12-18 |