| NPI | 1134354608 |
|---|---|
| Former Name | ELSA VICTORIA HENNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 56157) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-8637) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2013-12-17 |