NPI | 1942730148 |
---|---|
Former Name | MOLLY AMORY STORER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.156344) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125-071619) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 271913) | |
Enumeration Date | 2017-06-20 |
Last Update Date | 2023-09-20 |