NPI | 1568741379 |
---|---|
Former Name | RACHEL ANNA GRUNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX Q7228) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101019186) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2022-11-03 |