NPI | 1396011383 |
---|---|
Former Name | JESSICA SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-123444) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-123444) |
Enumeration Date | 2012-03-24 |
Last Update Date | 2022-04-28 |