NPI | 1265503551 |
---|---|
Former Name | ANDREA K FRUEH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35082635) |
Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: OH 35-082635) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2021-09-12 |