NPI | 1750571543 |
---|---|
Former Name | SHANNA OBERLITNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 34.009562) |
Enumeration Date | 2007-07-27 |
Last Update Date | 2010-11-05 |