| NPI | 1407351901 |
|---|---|
| Former Name | ANNA MARIE LYDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2021025066) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018021473) |
| 208000000X Pediatrics (Licence: KS 94-09670) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 94-09670) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-09-07 |