NPI | 1043082084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH APRN.CNP.0033018) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0033018) |
Enumeration Date | 2023-10-24 |
Last Update Date | 2023-10-24 |