NPI | 1053531517 |
---|---|
Former Name | REBECCA L. CARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 241282) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268999) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2023-07-07 |