NPI | 1285861674 |
---|---|
Former Name | LIXIA ZHAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VT 042.0012576) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CO TL-3746) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2014-03-17 |