NPI | 1093455438 |
---|---|
Former Name | ABIGAIL TAYLOR MAYFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.017898) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 58.032832) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-07-02 |