| NPI | 1538387873 |
|---|---|
| Former Name | CARLA MARIE LICHTENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IA 37214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37214) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 37214) | |
| 208000000X Pediatrics (Licence: IA 37214) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-04-02 |