NPI | 1215909726 |
---|---|
Former Name | LESLIE A BOOKOUT HUDSON PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0056233) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-30497) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2018-04-13 |