NPI | 1689063919 |
---|---|
Former Name | KATHERINE LEVANDOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NH 24057) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 291574) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2023-08-14 |