NPI | 1487672754 |
---|---|
Former Name | ANGELA MARIA ALFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01045265A) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX K8106) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-03-07 |