NPI | 1477552487 |
---|---|
Former Name | ELIZABETH A BALHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD.199942.R) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 199942) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2021-01-06 |