| NPI | 1275973398 |
|---|---|
| Former Name | LARK JULIE GREENWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD60840220) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MT 79073) |
| 207N00000X Dermatology (Licence: CA 148774) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2024-01-16 |