NPI | 1215079280 |
---|---|
Former Name | ALYSSA LEIGH GUY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 41606) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY R1111) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2012-11-09 |