NPI | 1861713273 |
---|---|
Former Name | KATHRYN ELIZABETH SWYGERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AL 33176) |
Additional Taxonomies | 207N00000X Dermatology (Licence: SC LL32749) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2019-02-15 |