| NPI | 1922719798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 50.007950RX) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 50.007950RX) |
| 363A00000X Physician Assistant (Licence: OH 50.007950RX) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-04-24 |