NPI | 1255788352 |
---|---|
Former Name | CHELSEA COATS JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-12970) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OK 32264) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2020-09-03 |