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 |