NPI | 1376839852 |
---|---|
Former Name | HEATHER M PETRASEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-124393) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01079277A) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IN 01079277A) | |
Enumeration Date | 2011-06-23 |
Last Update Date | 2024-11-11 |