NPI | 1265827596 |
---|---|
Former Name | DEIDRE REILING CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 314936) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL 135910) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2022-04-11 |