| NPI | 1104143437 |
|---|---|
| Former Name | ANNE B HAUGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 60530) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2014011571) |
| 207N00000X Dermatology (Licence: KS 04-38017) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-03-17 |