NPI | 1033125588 |
---|---|
Former Name | MEGAN ELISABETH MALCHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M4403) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX M4403) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-02-19 |