| NPI | 1164477246 |
|---|---|
| Former Name | MINDY L. GRUNZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-114998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 45736) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-03-07 |