NPI | 1154889350 |
---|---|
Former Name | CATHERINE MALONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2024-00945) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207N00000X Dermatology (Licence: IL 125.074184) | |
Enumeration Date | 2019-03-06 |
Last Update Date | 2024-07-08 |