NPI | 1538541982 |
---|---|
Former Name | LINDSEY ANN WOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.153383) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NH 19517) |
207N00000X Dermatology (Licence: IL 036153383) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: NH 19517) | |
207R00000X Internal Medicine (Licence: IL 125-066870) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2020-09-08 |