NPI | 1306161211 |
---|---|
Former Name | SAMANTHA JANE ROBARE-STOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX P4806) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-02 |
Last Update Date | 2022-06-02 |