| NPI | 1720405087 |
|---|---|
| Former Name | KATHERINE ALYSSA NOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME148243) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A152052) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-07-22 |