NPI | 1457610297 |
---|---|
Former Name | JACLYN ANN SCHNEEBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.126806) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 126806) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2021-10-28 |