| NPI | 1447493101 |
|---|---|
| Former Name | KELLEY JANE ZAGOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD445944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD445944) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2024-05-14 |