| NPI | 1134252455 |
|---|---|
| Former Name | KELLEY ANNE PAGLIAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101241641) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: VA 0101241641) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-03-28 |