| NPI | 1790864759 |
|---|---|
| Former Name | CRISTINA MARY ZERETZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 203610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 511386) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-10-17 |