| NPI | 1588292841 |
|---|---|
| Former Name | CORLEY CATHERINE PRUNEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX U3626) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX U3626) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-07-21 |