| NPI | 1487900577 |
|---|---|
| Former Name | ELIZABETH SAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 56812) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 107024) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2016-06-14 |