| 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 |