| NPI | 1790001121 |
|---|---|
| Former Name | CARLA JEAN IHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 57146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 57146) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2019-09-05 |