NPI | 1124522651 |
---|---|
Former Name | ORESTA TOLMACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 75505-20) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 75505-20) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-03-02 |