NPI | 1356784011 |
---|---|
Other Name | MARY DORGANT DARCONTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX R3656) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX r3656) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2024-04-04 |