| NPI | 1447453402 |
|---|---|
| Former Name | STEPHANIE DIAMANTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2007-01974) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2007-01974) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NC 2007-01974) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-11-25 |