NPI | 1275092298 |
---|---|
Former Name | CLARA HAGEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022034245) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019019490) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-01-28 |