NPI | 1295025229 |
---|---|
Former Name | KAREN CHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN 52214) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-11 |
Last Update Date | 2015-08-07 |