NPI | 1205905486 |
---|---|
Former Name | ANN ALLISA BAUERNFIEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME97605) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME97605) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2024-01-29 |