NPI | 1235388828 |
---|---|
Former Name | SUZANNE LAUREN MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A124089) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD037491) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2013-06-27 |