NPI | 1164819066 |
---|---|
Former Name | MARINA SHUSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101269248) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25ma10601600) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2024-03-23 |