NPI | 1215161948 |
---|---|
Former Name | ELIZABETH CHANNING REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9710) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A107449) |
Enumeration Date | 2009-05-09 |
Last Update Date | 2024-06-03 |