| NPI | 1124609078 |
|---|---|
| Former Name | JIAYUE DENG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 04-51339) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2025006496) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-10-07 |