NPI | 1952897134 |
---|---|
Former Name | ALEESA FEDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165670) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036165670) |
208000000X Pediatrics (Licence: WI 7209851) | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-10-11 |