| NPI | 1386773430 |
|---|---|
| Former Name | BRENDA M MANDELIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 54585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 49381-020) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 105550) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-20 |