NPI | 1255782504 |
---|---|
Former Name | EMILY RACHEL HAUTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502446) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109407) |
208000000X Pediatrics (Licence: MI 4301109407) | |
208000000X Pediatrics (Licence: MI 4301502446) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2020-08-25 |