NPI | 1578954145 |
---|---|
Former Name | ANNE SPRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SC PA4710) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108242) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2023-10-17 |