NPI | 1336565019 |
---|---|
Former Name | HELENE MARIE HOSINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0101260005) |
Enumeration Date | 2014-03-05 |
Last Update Date | 2021-09-14 |