NPI | 1427284488 |
---|---|
Former Name | KATHLEEN ANNE CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 289437) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NY 289437) |
Enumeration Date | 2009-06-04 |
Last Update Date | 2023-06-29 |