NPI | 1952793408 |
---|---|
Former Name | NICHELLE ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 008662) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS1482) |
Enumeration Date | 2015-02-20 |
Last Update Date | 2020-10-01 |