| NPI | 1386727378 | 
|---|---|
| Former Name | ANGELA J PECK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 70353)  | 
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD00040206)  | 
| Enumeration Date | 2006-10-23 | 
| Last Update Date | 2013-09-26 |