| NPI | 1578622312 |
|---|---|
| Former Name | CHARLOTTE MARIE LANGENDERFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME138588) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-00432) |
| 208000000X Pediatrics (Licence: NV 13211) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2021-08-03 |