| NPI | 1013302736 |
|---|---|
| Former Name | REBECCA KOHLBERG-DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 274485) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 274485) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2018-08-13 |