NPI | 1255899035 |
---|---|
Former Name | EMMA BOESEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0102206388) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102206388) |
208D00000X General Practice (Licence: VA 0102206388) | |
Enumeration Date | 2019-03-11 |
Last Update Date | 2025-06-23 |