NPI | 1417207283 |
---|---|
Former Name | KARLA P SNIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR DO164262) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101020167) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2023-11-01 |