| NPI | 1639632359 |
|---|---|
| Other Name | KATE ELIZABETH KONDRATUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: WI 84262-20) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-09-24 |