| NPI | 1629100086 |
|---|---|
| Former Name | MARY L BRASCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 64005) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 64005) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-06-26 |