NPI | 1063654119 |
---|---|
Former Name | REBECCA LAUREN STARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 03456) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL1690) |
208000000X Pediatrics (Licence: KY 03456) | |
Enumeration Date | 2009-04-02 |
Last Update Date | 2024-09-05 |