NPI | 1760916373 |
---|---|
Former Name | MARY HAUSWIRTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301510292) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 85561) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-20 |
Last Update Date | 2023-11-09 |