NPI | 1861791238 |
---|---|
Former Name | COURTNEY SELCK ORSCHEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-13290) |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: AR E-13290) |
Enumeration Date | 2011-03-24 |
Last Update Date | 2022-11-23 |