NPI | 1376670976 |
---|---|
Former Name | ERIN FORD-DIRKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A94786) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94786) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2012-03-29 |