| NPI | 1689631038 |
|---|---|
| Former Name | RUTH A ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 38316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 38316) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2012-08-01 |