NPI | 1194174110 |
---|---|
Former Name | EMILY ELIZABETH MILFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2024030402) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036151910) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2024-10-28 |