NPI | 1528520442 |
---|---|
Former Name | JENNA BERNDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036161210) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 1528520442) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2023-08-23 |