NPI | 1588890057 |
---|---|
Former Name | INGRID KRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: MI 4301094450) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094450) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094450) | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2019-10-01 |