NPI | 1760692479 |
---|---|
Former Name | ANNE E LINTZENICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 31602) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57011998) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2011-05-27 |