| NPI | 1225591860 |
|---|---|
| Former Name | KIMBERLY FRANCES FALDETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: ME MD30241) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: ME MD30241) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301511677) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-05-06 |