| NPI | 1063707412 |
|---|---|
| Former Name | KATHERINE MADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2015-00643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200362) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2015-07-08 |