| NPI | 1134570211 |
|---|---|
| Former Name | ERYN FENNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A20546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT017432) |
| 208000000X Pediatrics (Licence: AZ 007952) | |
| 208000000X Pediatrics (Licence: CA 20546) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-03-29 |