NPI | 1447678230 |
---|---|
Former Name | HOLLY DOBRENEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0058869) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD465592) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2022-06-28 |