| 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 |