NPI | 1467446765 |
---|---|
Former Name | MARTA JANE HEMMINGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IA 33466) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IA 33466) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: KY 33466) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: IA 33466) | |
Enumeration Date | 2005-09-01 |
Last Update Date | 2023-06-01 |