| NPI | 1619381381 |
|---|---|
| Former Name | CYNTHIA LYNN KOSLOSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 66969) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MI 4301510051) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-09-19 |