| NPI | 1679830905 |
|---|---|
| Other Name | MANDI GREENWAY BIETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 9935) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2016-05-20 |