| NPI | 1225423742 |
|---|---|
| Former Name | VIRGINIA NELL HASELDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 52867) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01082183A) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2019-07-10 |