NPI | 1992097646 |
---|---|
Former Name | ALEKSANDRA STEPHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 294725) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT199331) |
207N00000X Dermatology (Licence: CO DR.0061520) | |
207R00000X Internal Medicine (Licence: PA MT199331) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199331) | |
Enumeration Date | 2011-05-12 |
Last Update Date | 2022-12-19 |