NPI | 1205876356 |
---|---|
Former Name | JANET MALLIARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD433988) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 237711) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2017-10-17 |