| NPI | 1588067375 |
|---|---|
| Former Name | NATALIE WANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA DO05641) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AR E11437) |
| 208D00000X General Practice (Licence: FL UO4030) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2024-10-25 |