NPI | 1730364654 |
---|---|
Former Name | ELIZABETH N LE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A130069) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207ND0900X Dermatology, Dermatopathology (Licence: CA A130069) | |
Enumeration Date | 2008-01-09 |
Last Update Date | 2016-06-29 |