NPI | 1811438880 |
---|---|
Former Name | CHRISTINA FELDPAUSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101025709) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT017939) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-10 |
Last Update Date | 2021-03-19 |