NPI | 1174967756 |
---|---|
Former Name | MIRANDA ADANNA UZOMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX R7918) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX R7918) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2023-10-11 |