NPI | 1982834081 |
---|---|
Former Name | MARY LYNN EPSTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 075040) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-07-23 |
Last Update Date | 2023-09-28 |