NPI | 1528003472 |
---|---|
Former Name | STACY S SILVERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A99357) |
Additional Taxonomies | 207N00000X Dermatology (Licence: KS 0431816) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2017-06-19 |