NPI | 1528278074 |
---|---|
Former Name | ELEANE LIESEMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NE 24031) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 24031) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-05-28 |