| NPI | 1598981763 |
|---|---|
| Former Name | KATHRYN ELISE BOYSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 123615) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.090979) |
| 207N00000X Dermatology (Licence: OH 57.012401) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-08-10 |