| NPI | 1982067120 |
|---|---|
| Former Name | JACQUELYN MARJORIE SWIETLIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 70038-20) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2020-01917) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2021-06-27 |