NPI | 1528359668 |
---|---|
Former Name | BAILEY MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01077179A) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01077179A) |
Enumeration Date | 2011-04-25 |
Last Update Date | 2023-08-01 |