NPI | 1265619217 |
---|---|
Former Name | EMILY MARIE KAUFMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX P1048) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A102771) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: TX P1048) | |
208000000X Pediatrics (Licence: NY 242467) | |
Enumeration Date | 2008-01-22 |
Last Update Date | 2018-07-16 |