| NPI | 1588957864 |
|---|---|
| Former Name | STEPHANIE JULIET KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR DO189847) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2022-06-16 |