NPI | 1467572743 |
---|---|
Former Name | ANGELA MARIE SANFILIPPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35-093568) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35-093568) |
207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35-093568) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2023-05-30 |