NPI | 1710171756 |
---|---|
Former Name | AMY MARIE RESETAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 34.010006) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.010006) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2024-05-07 |