NPI | 1215478417 |
---|---|
Former Name | EMILY ELIZABETH SPAEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017020681) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09392) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-07-23 |