NPI | 1467654673 |
---|---|
Former Name | ANNA JOSEPHINE JUERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA C155156) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 53008) |
207NP0225X Dermatology Pediatric Dermatology (Licence: WI 53008) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2020-02-14 |