| NPI | 1205087954 |
|---|---|
| Former Name | KATHERINE DOUGLASS CHILEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA OS015302) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA OS015302) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2017-08-16 |