NPI | 1679538086 |
---|---|
Former Name | PAULA M. ANNECHINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IA 26831) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036077938) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2012-11-21 |