| NPI | 1104302900 |
|---|---|
| Former Name | BARBARA MARIE BASTIWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 58116) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01089986A) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2025-08-19 |