NPI | 1881912640 |
---|---|
Former Name | REBECCA LYNN KONCHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NE 26634) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 26634) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2023-11-15 |