NPI | 1508445487 |
---|---|
Professional Name | SARA ANN KULLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IL 125085121) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-07 |
Last Update Date | 2025-07-30 |