NPI | 1952667982 |
---|---|
Former Name | REBECCA ANNE PETROSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036.147040) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036147040) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2022-07-19 |