NPI | 1871912550 |
---|---|
Former Name | JENNIFER SUSAN BRESCOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MI 4301105772) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301105772) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2025-09-09 |