NPI | 1356635924 |
---|---|
Former Name | ALANA BLAINE KEKEVIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MB09889400) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA 0T014135) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: DE C20011665) | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2016-08-15 |