NPI | 1205361805 |
---|---|
Former Name | LEAH SCHMELKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SD 13626) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 64100) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: MN 28637) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 28637) | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2024-01-09 |