NPI | 1114928041 |
---|---|
Former Name | KIRSTEN MARION TROTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35-059669) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2021-06-16 |