NPI | 1811309271 |
---|---|
Former Name | JOANNA LAURA GRAEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C2-0012309) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB09948800) |
208000000X Pediatrics (Licence: MD H83650) | |
208000000X Pediatrics (Licence: PA OS018863) | |
Enumeration Date | 2014-05-20 |
Last Update Date | 2019-09-12 |