NPI | 1033224571 |
---|---|
Former Name | KAREN LYNN EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL 28195) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 240405) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2019-01-03 |