NPI | 1750377677 |
---|---|
Former Name | JESSICA GERMOND KLEKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P8605) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA 32571) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2014-02-11 |