| NPI | 1548275423 |
|---|---|
| Former Name | MAUREEN ANNE MOOSBRUGGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 27781) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 53502) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |