| NPI | 1073708608 |
|---|---|
| Other Name | RACHEL ANN WENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 51824) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN no license) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2009-06-10 |