NPI | 1871703371 |
---|---|
Former Name | CHYNNA LYNN STEELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 062610) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2006014599) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-03-05 |