| NPI | 1730576851 |
|---|---|
| Former Name | VANESSA GARLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A162350) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VT 042.0014081) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-09-15 |