NPI | 1205125952 |
---|---|
Former Name | REBECCA YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2014011522) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014011522) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2021-01-18 |