| NPI | 1639105463 |
|---|---|
| Former Name | BRANDIE JEAN RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A86073) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A86073) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-08-26 |