| NPI | 1881035640 |
|---|---|
| Former Name | THERESA KOEBERL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 59743) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 59743) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-08-18 |