| NPI | 1861719494 |
|---|---|
| Former Name | SASHA NICOLE JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35. 123300) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 69679) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2016-00779) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2017-04-20 |