NPI | 1295155232 |
---|---|
Former Name | EMILY E FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CT 68676) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NH 18884) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2021-08-10 |