| NPI | 1821096942 |
|---|---|
| Former Name | MAKI CHRISTINE OKAMURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G73340) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G73340) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G73340) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-08-03 |