NPI | 1568628121 |
---|---|
Former Name | REBECCA JEAN EICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101235621) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD035521) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2010-05-11 |