NPI | 1689721409 |
---|---|
Former Name | SARAH ANN KIPPENBROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX Q1661) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD440100) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-09-29 |