| NPI | 1346583689 |
|---|---|
| Former Name | GINA MARIE MITTELSTAEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C1-0011860) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-10-25 |