| NPI | 1013933431 |
|---|---|
| Former Name | AMY L PRIESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301104886) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036112985) |
| 207N00000X Dermatology (Licence: MI 4301104886) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301104886) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-08-09 |