| NPI | 1689675563 |
|---|---|
| Former Name | PETRA M MESSICK-LAEVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 62317-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 9639) |
| 208000000X Pediatrics (Licence: WA md60147163) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-06-27 |