| NPI | 1750560579 |
|---|---|
| Other Name | JENNY REBECCA WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0057122) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CO 57122) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2022-06-02 |