NPI | 1013368125 |
---|---|
Former Name | ALLISON MARIE SCHNEIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77029) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10708) |
208000000X Pediatrics (Licence: WI 71302-20) | |
Enumeration Date | 2016-06-29 |
Last Update Date | 2024-05-24 |