NPI | 1265675938 |
---|---|
Former Name | HAYLEY SUZANNE GRAUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2016014396) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-38991) |
208000000X Pediatrics (Licence: KS 04-38991) | |
208000000X Pediatrics (Licence: MO 2016014396) | |
208000000X Pediatrics (Licence: MI 4301099903) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301099903) | |
Enumeration Date | 2009-04-10 |
Last Update Date | 2016-08-02 |