NPI | 1154510683 |
---|---|
Former Name | ALICIA R CRANDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 34.010231) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.010231) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2021-04-15 |