NPI | 1528188182 |
---|---|
Former Name | HEIDI KLOSTER ROMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1010) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94199) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2021-02-09 |