NPI | 1790363273 |
---|---|
Former Name | DANIELLE MASATSUGU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01095916A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11022458A) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2025-08-04 |