| NPI | 1396776498 |
|---|---|
| Former Name | TRACEE ANGELA DOUSE-DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 085-002507) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 085-002507) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-12-22 |