| NPI | 1801973219 |
|---|---|
| Former Name | TAJ MAHALIA CHEROKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00029104) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AK 3125) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |