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 |