NPI | 1932558111 |
---|---|
Former Name | CARLYN ANN TODOROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD466270) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD466270) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2024-03-05 |