NPI | 1205192788 |
---|---|
Former Name | AGNIESZKA KUBICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 67696-20) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 56966) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2018-03-17 |