NPI | 1871576264 |
---|---|
Former Name | LAKIMERLY MICHELLE WOODS-COATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036102903) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036102903) |
207ND0900X Dermatology, Dermatopathology (Licence: IL 036102903) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: IL 036102903) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036102903) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2018-02-19 |