NPI | 1447256102 |
---|---|
Former Name | SANDRA MARIE MARCHESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-1554) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AR E1554) |
207ND0900X Dermatology, Dermatopathology (Licence: AR E-1554) | |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: AR E-1554) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: AR E1554) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: AR E-1554) | |
Enumeration Date | 2005-06-27 |
Last Update Date | 2023-08-30 |