| NPI | 1922422120 |
|---|---|
| Former Name | CAROLYN ADELE HARDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX S9985) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX S9985) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2024-04-23 |