NPI | 1750600359 |
---|---|
Former Name | KATE I ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME114748) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME114748) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2020-08-28 |