NPI | 1780667527 |
---|---|
Professional Name | STEPHANIE J MENGDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OR MD28731) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD28731) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2010-11-02 |