NPI | 1780027961 |
---|---|
Former Name | MICHELLE DAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 1780027961) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-08 |
Last Update Date | 2018-03-17 |