NPI | 1346497625 |
---|---|
Former Name | AMY ROZUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: ID O-1590) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036127665) |
2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: IL 036127665) | |
Enumeration Date | 2008-08-19 |
Last Update Date | 2022-01-14 |