| NPI | 1770875130 |
|---|---|
| Former Name | MORGAN RUTH WENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 074114) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA RTP 005639) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2019-10-22 |