| NPI | 1750709978 |
|---|---|
| Former Name | GWENDOLYN Z GOTTLIEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 121743) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60469767) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-07-21 |