NPI | 1588856892 |
---|---|
Former Name | WENDY ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0073047) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A97350) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2023-11-06 |