NPI | 1255302527 |
---|---|
Former Name | ANN ELISE WEINRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL 26404) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NC 26404) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2010-10-26 |