NPI | 1386148708 |
---|---|
Former Name | AMY TEMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 92981) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NC 237994) |
207R00000X Internal Medicine (Licence: NC 237994) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-08-08 |