| NPI | 1013112036 |
|---|---|
| Former Name | ANDREA LYNN MUSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 53277) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OK 25727) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2010-10-29 |