NPI | 1124476296 |
---|---|
Former Name | KATHERINE GIVEN LIGTENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A167878) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068796) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2022-11-02 |