NPI | 1447290770 |
---|---|
Former Name | AMY CHRISTINE WENDORFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-36646) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IA 36646) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2018-06-07 |