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 |