| NPI | 1669678777 |
|---|---|
| Other Name | ELIZABETH DIANE PECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 8400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 8400) |
| 208000000X Pediatrics (Licence: KS 94-06746) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2017-12-05 |