NPI | 1205982824 |
---|---|
Former Name | COURTNEY L PATERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MT 25975) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 47696) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-03-04 |