NPI | 1124240080 |
---|---|
Other Name | NANCY M CHUNG SHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX P3869) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL me99449) |
207N00000X Dermatology (Licence: VA 0101236325) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-02-14 |