| NPI | 1073584462 |
|---|---|
| Former Name | MARY E MCCRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR0045400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0045400) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-02-06 |