NPI | 1942477054 |
---|---|
Former Name | EMILY JEAN HORNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2012013473) |
Additional Taxonomies | 207N00000X Dermatology (Licence: KS 04-35668) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2019-10-21 |