| NPI | 1043435779 |
|---|---|
| Former Name | TERESA ELLEN VANDENBERGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301099708) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 52893) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-02-25 |