NPI | 1710440078 |
---|---|
Professional Name | PRISCILLA FONG LY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX U8758) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX U8758) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2024-09-30 |