NPI | 1548296817 |
---|---|
Former Name | DWANA RASHAD LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101240235) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101240235) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2017-09-12 |