NPI | 1962639831 |
---|---|
Former Name | REBECCA SUZANNE HOODECHECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD60356693) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2010014001) |
207R00000X Internal Medicine (Licence: IL 125.056329) | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2016-04-12 |