| NPI | 1356541684 |
|---|---|
| Former Name | HEIDI MARIE BOLANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA MD-45229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-45229) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01073861) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2018-07-26 |