NPI | 1013596246 |
---|---|
Former Name | ABIGAIL RACHAEL PATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.170086) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125079031) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-06-21 |