NPI | 1417083940 |
---|---|
Former Name | STACEY B. GARFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0003006) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431129) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2023-01-17 |