| NPI | 1285167700 |
|---|---|
| Former Name | GINA JOSETTE FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.142103) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35.142103) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-09-22 |