| NPI | 1366893752 |
|---|---|
| Former Name | KIRSTEN GOETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301504690) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MI 4301504690) |
| 207N00000X Dermatology (Licence: OH 35.139357) | |
| 207N00000X Dermatology (Licence: IA R-10964) | |
| 207R00000X Internal Medicine (Licence: IA R10695) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-06-21 |