| 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 |