NPI | 1003004656 |
---|---|
Former Name | DEBBIE F MARKENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME119401) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD036951) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA08956000) | |
Enumeration Date | 2007-10-09 |
Last Update Date | 2014-08-19 |