NPI | 1457790214 |
---|---|
Former Name | RACHEL CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SC 91512) |
Additional Taxonomies | 207N00000X Dermatology (Licence: GA 85474) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SC 91512) | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2024-06-13 |