NPI | 1396913281 |
---|---|
Former Name | KRISTY PROCTOR GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AL 1217) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2008-00588) |
207N00000X Dermatology (Licence: MO 2005034470) | |
Enumeration Date | 2008-02-14 |
Last Update Date | 2023-03-07 |