| NPI | 1568955300 |
|---|---|
| Former Name | ELIZABETH JOAN USEDOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL 162032) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL 162032) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-05-13 |