NPI | 1144545369 |
---|---|
Former Name | AMY CHRISTINE DOWNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X (Licence: WA MD 60345541) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60345541) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2018-10-02 |