NPI | 1780241679 |
---|---|
Former Name | KENDRA MONTAYNE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0073399) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IA MD-49793) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MO MD-49793) | |
Enumeration Date | 2019-05-25 |
Last Update Date | 2024-08-27 |