NPI | 1225082282 |
---|---|
Former Name | JUDY CAROL WATKINS MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 026601) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2007-11-18 |