NPI | 1255453767 |
---|---|
Former Name | DANA LEA LENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA 04662) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.120801) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2021-03-01 |