NPI | 1508028093 |
---|---|
Former Name | JAIME J REILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 201101796) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IA R8536) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2023-08-28 |