NPI | 1609988823 |
---|---|
Former Name | LISA HOEFT ALBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 81196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 81196) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2016-03-16 |