NPI | 1699161174 |
---|---|
Former Name | CHELSEY ELIZABETH STRAIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX S6533) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TX S6533) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2024-10-11 |