| NPI | 1811552029 |
|---|---|
| Former Name | GEORGEANNE EMERSON ZITSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MO 2020022923) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2024-06-21 |