| NPI | 1659654598 |
|---|---|
| Former Name | BONITA KOZMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301509642) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 137074) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2023-08-17 |