NPI | 1205060282 |
---|---|
Former Name | MEGHANN VIRGINIA GOSSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 075812) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 48582) |
208000000X Pediatrics (Licence: NC 157509) | |
Enumeration Date | 2009-05-06 |
Last Update Date | 2021-01-25 |