| NPI | 1801526793 |
|---|---|
| Former Name | KATELYN DUGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2023016717) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KS 04-52805) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-04-29 |