NPI | 1962935825 |
---|---|
Former Name | BROOKE E ROSENBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NV 21262) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WI 7140) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2023-01-23 |