NPI | 1538451554 |
---|---|
Former Name | LEAH BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: WI 69446) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 69446) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2024-03-12 |