| NPI | 1629203468 |
|---|---|
| Former Name | MICHAELA HANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM MD20130154) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NM MD2013-0154) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2015-05-12 |