| NPI | 1841653714 |
|---|---|
| Former Name | CHELSEA MIDORI GRIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A171819) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A171819) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-05-10 |