| NPI | 1063544294 |
|---|---|
| Former Name | JOCELYN MICHELE STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C70003277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT186906) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |