| NPI | 1770140535 |
|---|---|
| Former Name | MARY ELIZABETH REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2020013973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R11534) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-06-23 |