NPI | 1396064366 |
---|---|
Former Name | JENNIFER GEBHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036135380) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036135380) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2017-03-03 |