NPI | 1285131011 |
---|---|
Former Name | CHELSEA MEENAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN 65364) |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: TN 65364) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2022-06-17 |