NPI | 1558657031 |
---|---|
Former Name | TATYANA O BABINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101252505) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA 159905) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2019-05-02 |