NPI | 1265448609 |
---|---|
Former Name | KRISTEN MARIE CESARIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: CA G80021) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA G80021) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2025-03-12 |