| NPI | 1588041099 |
|---|---|
| Former Name | SARAH JO WETHERINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.148813) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-06-05 |