NPI | 1881989325 |
---|---|
Former Name | HEATHER IRINA COHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 020048) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 248355) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2020-10-29 |