NPI | 1821659434 |
---|---|
Former Name | MEGAN SCHUETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301507198) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045639) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2023-01-09 |