NPI | 1659569382 |
---|---|
Former Name | GWYN ELANN FRAMBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 34.010052) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 249624) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2023-01-25 |