Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MD419893 | PA |
N | 208000000X | Pediatrician | 23018 | MS |
N | 208000000X | Pediatrician | ME88767 | FL |
NPI | 1124214820 |
---|---|
Provider Name | Gretchen G Zima |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 02/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01277278 | (05) | MS |
2409701 | (05) | LA |