| NPI | 1821051079 |
|---|---|
| Former Name | ANDREA L SLAUGHTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2009017535) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MO 2009017535) |
| 207N00000X Dermatology (Licence: WI 48976-020) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-09-16 |