| NPI | 1861806150 |
|---|---|
| Former Name | SHIVANI BASHIYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2022-00607) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA10816500) |
| 207N00000X Dermatology (Licence: NY P92884) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2023-11-03 |