NPI | 1306338454 |
---|---|
Former Name | ELVIRA SHREDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01086057A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL52524) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2021-12-10 |