NPI | 1104089937 |
---|---|
Former Name | JENNIFER ANN BAYUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 1188) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34-012854) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2025-05-19 |