NPI | 1154323749 |
---|---|
Other Name | JILL CROWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD39348) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.122022) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2022-12-28 |