Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 35.094677 | OH |
N | 2084N0402X | Child Neurologist | 4301084450 | MI |
NPI | 1215142674 |
---|---|
Provider Name | Dr. Elia Margarita Pestana Knight |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44195-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 18/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1026870800001 | (05) | PA |
3071992 | (05) | OH |