NPI | 1265798060 |
---|---|
Former Name | DANA M MONDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WI 67748) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.061562) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2023-10-18 |