NPI | 1134328594 |
---|---|
Former Name | SAMANTHA L BEEVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY TP509) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23997) |
208000000X Pediatrics (Licence: OH 35121764) | |
208000000X Pediatrics (Licence: KY TP509) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2024-11-12 |