NPI | 1013943505 |
---|---|
Former Name | KARLA SUSAN DRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 51635) |
Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: MN 51635) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2016-04-13 |