NPI | 1083685317 |
---|---|
Former Name | JEAN MARIE OGBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 31457) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 31457) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2024-11-18 |