| NPI | 1134534811 |
|---|---|
| Former Name | JENNIFER ASHLEY ALBUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2018017647) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2014017964) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2021-03-01 |