| NPI | 1720579931 |
|---|---|
| Former Name | DIANA WEBSTER BARTENSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MA 1015309) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 1015309) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-09-07 |