NPI | 1770749228 |
---|---|
Former Name | ANNA LYNN BRUETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60220384) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2014-07-24 |