NPI | 1588283253 |
---|---|
Former Name | SYDNEY CONRAD LARKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.168455) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 68967) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-07-01 |