NPI | 1841209541 |
---|---|
Former Name | LYNN SYDOR ISRAELIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G88041) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 75923) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2019-11-07 |