NPI | 1780034207 |
---|---|
Former Name | KINDAL WESSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 39736) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL39736) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2024-04-29 |