| NPI | 1013445071 |
|---|---|
| Former Name | MALIA B GROSSKREUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 94-09169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09169) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-11-16 |