NPI | 1063631141 |
---|---|
Former Name | MICHELLE RENEE SUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01071245A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01071245A) |
208000000X Pediatrics (Licence: TN 69521) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MT 118827) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2024-08-29 |