NPI | 1518998053 |
---|---|
Former Name | JAMI ADAIR WICHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301070653) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-15136) |
208000000X Pediatrics (Licence: OR MD198805) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2023-05-19 |