NPI | 1760094502 |
---|---|
Former Name | CYNTHIA MITSUKO SLYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 291027) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN195978) |
Enumeration Date | 2020-08-22 |
Last Update Date | 2023-05-04 |