| NPI | 1396312385 |
|---|---|
| Former Name | MEGAN ELIZABETH SUYEMATSU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA 95017346) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |