NPI | 1508805144 |
---|---|
Former Name | MARCIA L PODOLSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 681882) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP681882) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2016-02-22 |