NPI | 1205842051 |
---|---|
Former Name | NICOLE M. LAUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO 0045549) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A94628) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A94628) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2021-05-06 |