| NPI | 1215376710 |
|---|---|
| Former Name | MIRANDA BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0059094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063393) |
| 208000000X Pediatrics (Licence: IL 125.063393) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2021-01-18 |