NPI | 1972581445 |
---|---|
Former Name | DEBORAH ROGELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 15920) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 160132) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2013-04-05 |