NPI | 1093758534 |
---|---|
Former Name | JOCELYN PAIGE BEATTIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101238096) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101238096) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2023-05-24 |