NPI | 1144404898 |
---|---|
Former Name | CHRISTIN NELL COLLIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MS 21939) |
Additional Taxonomies | 207N00000X Dermatology (Licence: LA 203307) |
207N00000X Dermatology (Licence: NC 2013-01463) | |
Enumeration Date | 2007-12-18 |
Last Update Date | 2016-08-11 |