NPI | 1083818009 |
---|---|
Other Name | HILDA JUSTINIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PR 15662) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PR 15662) |
207NS0135X Dermatology, Procedural Dermatology (Licence: PR 15662) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2024-02-29 |