NPI | 1104089747 |
---|---|
Former Name | ALISON MARIE BATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35.143535) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301093769) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301093769) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301093769) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2022-06-29 |