NPI | 1073607149 |
---|---|
Other Name | KEESHA BONETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10008819) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101238247) |
208M00000X Hospitalist (Licence: DE C10008819) | |
208D00000X General Practice (Licence: DE C10008819) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-09-29 |