| NPI | 1528301041 |
|---|---|
| Former Name | KATHLEEN MARIE SHERGY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.37115) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-02-08 |