NPI | 1033401898 |
---|---|
Former Name | CHERI NICOLE ADGERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD048832) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN16055) |
207N00000X Dermatology (Licence: FL ME119241) | |
Enumeration Date | 2011-05-11 |
Last Update Date | 2023-03-13 |