| NPI | 1295091510 |
|---|---|
| Former Name | REBECCA LARIE WUKOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA MD-46173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-46173) |
| 208000000X Pediatrics (Licence: OH 35-125900) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-06-28 |