| NPI | 1861659799 |
|---|---|
| Former Name | JENNIFER LYNN ALSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101249868) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D008079) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-12-29 |