| NPI | 1720467194 |
|---|---|
| Former Name | GRETCHEN LYNN DELUKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 305158) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 305158) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2020-10-28 |