| NPI | 1598727208 |
|---|---|
| Former Name | KATE RITA IMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: OH 34.013367) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-09-07 |