| NPI | 1942793021 |
|---|---|
| Former Name | CELESTE GARLAND FRANCES BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD049127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT215235) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-08-15 |