NPI | 1114943552 |
---|---|
Former Name | LISA PARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA11584600) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 223303) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 223303) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2022-12-09 |