NPI | 1225128614 |
---|---|
Former Name | ELIZABETH F, MASTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DE C1-0001517) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: DE c10001517) |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: DE C1-0001517) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-08-20 |