NPI | 1063615672 |
---|---|
Former Name | JENNIFER LYNN FILE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO126209) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A10054) |
Enumeration Date | 2007-06-09 |
Last Update Date | 2021-01-28 |