| NPI | 1760679203 |
|---|---|
| Former Name | MARY TAYLOR BENOIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SC 30772) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME144280) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-10-12 |