NPI | 1164789012 |
---|---|
Former Name | WENDY M GOLDSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR MD192330) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A141614) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-17 |
Last Update Date | 2021-10-13 |