NPI | 1124137351 |
---|---|
Former Name | KATARINA GABRIELLE CHILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: GA P50005) |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: GA 050005) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-11-21 |