| NPI | 1972820975 |
|---|---|
| Former Name | KATHLEEN ELIZABETH SIKORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 074424) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 074424) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-04-30 |