| NPI | 1821106758 |
|---|---|
| Former Name | ANASTASIA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD071070L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD071070L) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-04-03 |