NPI | 1992063267 |
---|---|
Professional Name | JENNA BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME118808) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME118808) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2024-10-28 |