NPI | 1104566199 |
---|---|
Former Name | ANNA SKRADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2024024315) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: MO 2023019866) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-03-30 |
Last Update Date | 2024-06-26 |