NPI | 1477964195 |
---|---|
Former Name | INESSA RACHEL SIMANOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL OS13953) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA 05017039) |
208000000X Pediatrics (Licence: FL OS13953) | |
208000000X Pediatrics (Licence: PA 05017039) | |
Enumeration Date | 2014-05-15 |
Last Update Date | 2019-10-23 |